Individual
MRS. JENNIE BRIGHTUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
3224 N TYLER RD, WICHITA, KS 67205-8722
(316) 722-3125
Mailing address
3224 N TYLER RD, WICHITA, KS 67205-8722
(316) 722-3125
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT 714
KS
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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